Prevention and Treatment of Vitamin D Deficiency in India: An Expert Group Consensus
Sanjay Kalraa b✉, Abdul Hamid Zargarc, Ashok Kumar Dasd, Arjun Baidyae, Arundhati Dasguptaf, Chitra Selvang, Ganapathi Bantwalh, Nitin Kapoori, Om Lakhanij, Pankaj K. Agarwalk, Sarita Bajajl, Vijaya Sarathim
- aDepartment of Endocrinology, Bharti Hospital, Karnal, Haryana, India
- bUniversity Centre for Research and Development, Chandigarh University, Mohali, Punjab, India
- cCentre for Diabetes and Endocrine Care, National Highway Gulshan Nagar, Srinagar, India
- dDepartment of Endocrinology, Mahatma Gandhi Medical College and Research Institute - SBV, Puducherry, India
- eDepartment of Endocrinology, NRS Medical College, Kolkata, India
- fDepartment of Endocrinology, Rudraksh Super Specialty Care, Siliguri, West Bengal, India
- gDepartment of Endocrinology, MS Ramaiah Medical College, Bengaluru, Karnataka, India
- hDepartment of Endocrinology, St John’s Medical College Hospital, Bengaluru, Karnataka, India
- iDepartment of Endocrinology, Diabetes and Metabolism, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
- jZydus Hospitals, Ahmedabad, Gujarat, India
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Abstract
Vitamin D deficiency is highly prevalent in India, yet no standardized guidelines exist for classifying vitamin D status or its prevention and treatment. Even more, there is no consensus specific to vitamin D supplementation for the Indian population, and there are inconsistencies in the cut-off values for deficiency, severe deficiency, and insufficiency across various guidelines, which this evidence-based consensus seeks to resolve, thus guiding healthcare professionals in identifying, preventing, and managing vitamin D deficiency. An expert group of 41 endocrinologists from across India developed the consensus using the DELPHI method, achieving over 90% agreement on all recommendations. The consensus defines vitamin D deficiency, severe deficiency, and insufficiency, recommending supplementation strategies to maintain physiological 25(OH) D levels of 40-60 ng/mL (100-150 nmol/L). Tailored treatment regimens for neonates, infants, children, adolescents, adults, the elderly, pregnant and lactating women, and individuals with co-morbid conditions are provided to ensure optimal health for all age groups in India.
TL;DRAn expert group of 41 endocrinologists from across India developed the consensus using the DELPHI method, achieving over 90% agreement on all recommendations, recommending supplementation strategies to maintain physiological 25(OH) D levels of 40–60 ng/mL (100–150 nmol/L). (Semantic Scholar)